Nursing Math: Dobutamine Titration & IV Pump

Critical Care Drip Calculation Dobutamine Drip!
Dobutamine is used For the short-term inotropic treatment of low blood pressure
caused by:
congestive heart failure
septic shock
cardiogenic shock
or following cardiac surgery

I will note that In septic shock especially - fluid administration is the first treatment - but if that does not work a medication like dobutamine may be used.

Dobutamine = inotropic agent which increases myocardial contractility - specifically cardiac contractility - which in emergent situations will help increase cardiac output.

This is a Critical Care Medication because It must be titrated based on hemodynamic response,

Which include: blood pressure, urine output, heart rate, and (whenever possible) measurements of cardiac output like central venous pressure.

In this video you will hear me say that the the patient is unstable and the doctor has increased the rate. The increase would be based on these hemodynamic responses.

[Josh]

These drips are per minute, not hour.. do not watch this video it messes you up if you are studying for NCLEX

[joedhoffer]

🎯 The correct order should be: *"5mcg/kg/min"* and it's not by *"hour".* Then her calculate could be right.

[ladinonyc]

Now this video I can appreciate in comparison to the cardizem one. Great information and way of showing how to come up with the calculation & info needed. Thank you

[Kiddlekud]

Why does this have 3 dislikes? She's trying to help us! Thanks Caroline!

[jjaldin]

Best demonstration, excellent work, thank you!

[miloVan]

Thank you! So helpful and interesting. I can't wait until I get into a nursing program (:

[coreylj]

I love your videos but the answer for this calculation would actually be 0.325 mL/hr if done correctly as follows:

Order of 5mcg/kg/hr can just be multiplied by the kg's of 65, so 5*65 = 325 so you're left with 325 mcg/hr.
Then you would make it look as follows:
mL 325mcg 250mL 1mg
___ = x x = 0.325 mL/hr
hr hr 250mg 1000mcg


...The step you did that was incorrect was multiplying 5*65 and then by 60 minutes (there was no need to translate it into minutes, it was already in hours).

Love your videos but just wanted to make you aware of this!!

[earthtojupiterjourney]

How do I know when to increase rate? Is there a protocol to tell me to I crease rate?

[gabbyhurtado]

Yes!!! Please keep doing these videos!! So helpful!!!

[katiepeters]

Why do you change the hour to minutes when finding out how many mcg/kg/hr? That's the part I'm not understanding.

[heatherdegrande]

Where is the link to the dimensional analysis video you mentioned? Thanks in advance

[hrtnChan]

I am sorry but it must be per minute, not per hour. Hope you can fix the mistakes so that if someone who is not good at calculating can fix themselves. Anyway, thanks so much for making a very helpful video like this.

[jayr]

What’s the sense of converting to min(which I can’t understand if we are looking in per hour where is the given is already per hour)

[Acquetta]

I definitely love you and your videos 😊

[kaneshawilliamson]

The answer is 19.5ml/hr, correct? I replaced the first part with minute instead of hour and still got the same answer she got!!!

[smoothmove]

Is the order 7mcg/kg/min? If it's 7mcg/kg/hr, what do you time 60 for?

[jaysnmarquez]

The order is 5mcg/kg/“HOUR” yet to you multiplied it with 60mins? Now that’s medication error.

[orihuela]

I appreciate the use of the pump, but I think that you should review your own math problems. It can be confusing.

[serenthorman]

Not subscribing when multiple times wrong calculation because the order was written down incorrectly

[keishat]

Once multiple by 60..it is now mcg/kg/MINUTE...not hr. The pump set up in per min.